Provider Demographics
NPI:1720232846
Name:WILLIAMS, BETTY LIMPY (RN)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:LIMPY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 552
Mailing Address - Street 2:
Mailing Address - City:LAME DEER
Mailing Address - State:MT
Mailing Address - Zip Code:59043-0552
Mailing Address - Country:US
Mailing Address - Phone:406-477-4400
Mailing Address - Fax:406-477-8848
Practice Address - Street 1:100 CHEYENNE DR
Practice Address - Street 2:
Practice Address - City:LAME DEER
Practice Address - State:MT
Practice Address - Zip Code:59043-0552
Practice Address - Country:US
Practice Address - Phone:406-477-4400
Practice Address - Fax:406-477-8848
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT30124261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center